Case Coordinator

Location

Ohio

Posted

35 days ago

Salary

$17 - $19 / hour

Seniority

Senior

High SchoolEnglish

Job Description

Case Coordinator

Sedgwick

• Gather claim data and manage low to mid-level workers compensation claims to full duty Return to work • Facilitate appropriate treatment services efficiently, within required Ohio BWC Guidelines for compliance, company standards, industry best practices and/or client specific requirements • Obtain expected elements for subsequent EDI to the Bureau of Workers Compensation (BWC) • Manage medical-only and low- to mid-level lost-time workers compensation claims under close supervision • Process workers compensation claims reviewing receipt of compensation; Treatment plans; facilitating services; collaborating with all claim parties with updates and changes • Verify return to work documentation through telephonic and written communications and records return to work dates appropriately in system(s) • Manage claims in close collaboration with Claims Management Team • Support other claims management staff with larger or more complex claims as necessary • Make referral for case management and/or utilization management when work status changes due to functional limitations/medical instability • Document communications and claims management appropriately in system(s) • Respond to all inquiries within one (1) business day • Maintain knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures • Maintain professional client relationships • Meet and maintain productivity and quality expectations

Job Requirements

  • High school diploma or GED required
  • Strong oral and written communication skills
  • Computer literate – including Microsoft Office
  • Organizational skills required
  • Clerical or customer service experience or equivalent combination of education and experience preferred

Benefits

  • A diverse and comprehensive benefits package including medical, dental, vision, 401K, PTO and more
  • World class training program with a comprehensive curriculum
  • Assigned mentor and manager to support and guide on career journey
  • Career development and promotional growth opportunities

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